Active NPI
Deepika Duggineni
- Pharmacist
- Vienna, VA
National Provider Identifier
1366768038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 0202206478
- Practice address
- 215 Maple Ave W
Vienna, VA 22180-5606 - Phone
- (703) 242-3909
- Fax
- (703) 242-3980
- NPI assigned
- Apr 20, 2010
- Last updated
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 0202206478 | VA | Primary |
Addresses
Primary practice location
215 Maple Ave W
Vienna, VA 22180-5606
Mailing address
215 Maple Ave W
Vienna, VA 22180-5606
Phone (703) 242-3909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0202206478 | Other | VA | PHARMACIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0202206478 | VA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1366768038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 MAPLE AVE W",
"city": "VIENNA",
"state": "VA",
"postal_code": "221805606",
"telephone_number": "703-242-3909",
"fax_number": "703-242-3980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 MAPLE AVE W",
"city": "VIENNA",
"state": "VA",
"postal_code": "221805606",
"telephone_number": "703-242-3909",
"fax_number": "703-242-3980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGINENI",
"first_name": "DEEPIKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "VA",
"license": "0202206478",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHARMACIST",
"identifier": "0202206478",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Vienna, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.